Director, Performance and Quality Improvement

Job Type

Full-time

Description

Position Summary:

• Direct all performance and quality improvement (PQI) activities, including coordination of PQI plan, the development of outcome and performance measures, and evaluation of outcomes at all levels including management outcomes, client outcomes and measures of program and service delivery effectiveness.
• Drive a continuous improvement culture within the organization by promoting lean management and best practice principles.

Essential Duties and Responsibilities

The following description is a general representation of the key duties and responsibilities of the position.

• Develop, implement, and monitor the Performance and Quality Improvement (PQI) program for Benjamin Rose.
• Establish effective relationships with management to promote a culture of performance and quality improvement throughout the organization.
• Ensure the organization's compliance with all accrediting bodies as well as other external regulations related to performance and quality improvement including, but not limited to, HIPAA, ODH, ODA, ODMH, ODM and CMS. Lead accreditation process for Benjamin Rose.
• Responsible for accurate and timely submission of key data reporting to outside entities as identified for this position, coordinating data needs and support with IT and Finance teams as needed.
• Use metrics to provide support in linking projects to strategic operational objectives.
• Serve as chairperson of the Performance and Quality Improvement Committee.
• Work with management to develop monitoring tools for data collection, analysis, reporting and quality improvement.
• Responsible for ongoing updating and maintenance of clinical and quality policies and procedures for the entire organization.
• Review and revise the Performance and Quality Improvement Plan annually.
• Serve as the Clients Rights Officer (CRO) handling client and/or caregiver complaints and grievances, communicating with management to ensure a timely response, as well as collaborating with management on any corrective action.
• Develop and implement performance improvement initiatives to meet business objectives. Establish metrics to monitor financial savings as compared to established goals and targets.
• Manage the client incident/accident reporting process. Work with managers on corrective action and related quality improvement.
• Collaborate with the Corporate Compliance Officer (CCO), Privacy Officer and Data Protection Officer on related compliance issues and accreditation requirements.
• Communicate regularly with senior management on the status of the PQI program and consult on new performance and quality improvement initiatives.
• Oversee and maintain monthly dashboard report and disseminate to appropriate departments and staff.
• Support departments in audit preparation and process.
• Collaborate with the research and education department on the development and implementation of program evaluation and client satisfaction surveys for Benjamin Rose.
• Represent Benjamin Rose on internal and external committees related to performance and quality improvement.
• Work with managers to proactively analyze data to understand critical metrics and KPIs.
• Other duties as assigned.

Requirements

Specific knowledge, training or skills required to perform the duties of this position including specific courses, training programs or required certifications. The requirements listed below are representative of the knowledge, skills and abilities required for the position.

• Bachelor's degree in healthcare or social service is required. Master's degree is preferred.
• Working knowledge of regulatory and accrediting bodies.
• Lean certification training preferred or ability to obtain certification within one year from date of hire.
• Strong verbal, written, oral and electronic communication skills, including public speaking.
• Excellent problem solving, presentation and interpersonal skills.
• Excellent organizational skills and ability to handle multiple tasks and prioritize work.
• Proficiency with Microsoft Office suite (Word, Excel, Power Point, etc).
• Proficiency in electronic health record (EHR) software and database management.

Previous Experience that is necessary to qualify for this position:

• Minimum three (3) years of experience in health and/or social services.
• Minimum three (3) years of Quality Management/Quality Improvement/Process Improvement experience.

Essential Physical Demands and Working Environment

(The physical demands and work environment described below are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions.)

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

• While performing the duties of this job, the employee is regularly required to, stand, sit; talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, keyboard and telephone.
• Specific vision abilities required by this job include close vision requirements due to computer work.
• Light to moderate lifting is required, up to 15 pounds.
• Ability to uphold the stress of traveling.
• Regular, predictable attendance is required, some flexibility with hours.
• Moderate noise (i.e. business office with computers, phone, and printers, light traffic).
• Ability to work in a confined area.
• Ability to sit at a computer terminal for an extended period of time.
• Work environment is stressful at times.

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. Other functions may be assigned, and management retains the right to add or change the duties at any time.

REPORTS TO AND EVALUATED BY: Senior Vice President and Chief Operating Officer

Salary Description

$74K - $93K commensurate with experience